Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 13496 | Date 09/09/2025 |
| Token No | SM/25-26/1992 10/09/2025 | Serial | 019 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9088433183 |
| Address | 44 NEHERU NAGAR COLONY | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||